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首页> 外文期刊>Journal of public health management and practice: JPHMP >Hurricane Isabel-related mortality--virginia, 2003.
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Hurricane Isabel-related mortality--virginia, 2003.

机译：飓风伊莎贝尔相关的死亡率 - 弗吉尼亚州，2003年。

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BACKGROUND: Hurricane Isabel had a massive negative environmental, public health, and economic impact; Virginia bore the highest death toll (32) among nine states affected by this storm. A descriptive mortality analysis was conducted to identify modifiable risk factors and corresponding injury prevention measures that might mitigate future natural disaster-related morbidity and mortality in Virginia. METHODS: Information for the decedents, including demographic data, health status, and injury circumstances, was collected from the records of the Virginia Office of the Chief Medical Examiner and Office of Vital Records/Health Statistics. Criteria from the National Hurricane Center were used to classify deaths as direct or indirect. Storm assessments and emergency-response reports were also reviewed. RESULTS: A total of 32 deaths associated with Hurricane Isabel occurred in several densely populated localities in southeastern and central Virginia. The median age of decedents was 48 years (range: 7-85 years). A disproportionately higher mortality (21 [66%] of 32) occurred among persons older than 45 years (Virginia 2000 Census data). Twelve deaths were directly caused by environmental factors related to the storm (eg, seven drowning deaths and five traumatic head injuries from falling trees). Twenty deaths were indirectly associated with the storm and its effects: six fatal motor vehicle crashes, five related to clean-up operations, seven associated with power outages, and two stress-related (ie, myocardial infarction and suicide). The presence of alcohol or drugs was observed in 9 (28%) of 32 deaths. CONCLUSIONS: Classifying deaths as direct or indirect facilitates better target interventions on the basis of the identification of modifiable risk factors underlying hurricane-associated fatal injuries. Public education messages that reinforce avoidance of use of alcohol and drugs during natural disaster situations might reduce risk for injury.
机译：背景：飓风伊莎贝尔具有巨大的负面环境，公共卫生和经济影响;弗吉尼亚在受到这场风暴影响的九个州中的最高死亡人数（32）。进行了描述性死亡率分析，以确定可修改的危险因素和相应的伤害预防措施，可能会降低弗吉尼亚未来的自然灾害相关的发病率和死亡率。方法：包括人口统计数据，健康状况和伤害情况，包括弗吉尼亚州首席医学审查员和重要记录/卫生统计局办公室的记录收集了书籍的信息。国家飓风中心的标准用于将死亡分类为直接或间接。还审查了风暴评估和紧急响应报告。结果：在弗吉尼亚州东南部和中部地区的几个人口稠密的地方，共有32例与飓风伊斯拉伯相关的死亡。书籍中位数年龄为48岁（范围：7-85岁）。在45岁以上的人（弗吉尼亚2000年人口普查数据）中发生不成比例的死亡率（21 [66％]）。 12人死亡直接由与风暴有关的环境因素（例如，七人溺水死亡和落树的五个创伤头伤）引起的。二十个死亡是间接相关的，与风暴及其影响有关：六个致命的机动车崩溃，五个与清理操作有关，七个与停电相关的七个，以及两个与压力相关的（即心肌梗死和自杀）。在9（28％）的32例死亡中观察到酒精或药物的存在。结论：将死亡分类为直接或间接促进了在飓风相关致命伤害的可修改危险因素的鉴定的基础上促进了更好的目标干预措施。在自然灾害情况下加强避免使用酒精和药物使用的公共教育信息可能会降低受伤风险。

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